� Community Solutions & Built for Zero .
Our Story.
1990.
Rosanne Haggerty �founds Common Ground Community.* Over the next 20 years, the organization creates nearly 3,000 more homes, assisting more than 4,500 people. But despite the success of these buildings in ending homelessness for their residents, overall homelessness continued to rise in New York City.
2003.
The group that �would become the Community Solutions team launches the Street to Home Initiative in NYC, rallying organizations to reduce street homelessness in the 20-block Times Square area by 87% in two years.
2010.
The 100,000 Homes Campaign, (2010-2014) was launched to help U.S. communities find homes for 100,000 of the most vulnerable people experiencing homelessness. 186 communities helped 105,580 Americans find housing. Yet, at the Campaign’s end, no community has ended homelessness.
2011.
Creation of �Community Solutions.
*Community Solutions �is not affiliated with Common Ground, which now operates under the name “Breaking Ground.”
2015–now.
Launch of Built for Zero, that asks a new question: what does it take to count down to zero people experiencing homelessness?� �14 communities have reached milestone for ending homelessness known as functional
zero.
The Challenge of Counting Down.
January 2015 | July 2015 | January 2016 | July 2016 | January 2017 | July 2017 | January 2018 |
1000
750
500
250
0
Built for Zero is designed to help communities count down to zero — �a more complex challenge that requires a clearly defined end state for communities to shoot for.
� Committing to. � a clear end state.
Functional Zero for Veterans.
# Actively
Homeless Veterans
6-Mth Avg. Housing Placement Rate
*Built for Zero communities use the Built for Zero standard for ending veteran homelessness, a single measure that provides a higher, more measurable bar than the federal criteria and benchmarks. We eagerly support communities in meeting the criteria and benchmarks on their way to the BfZ standard.
<
Functional Zero for Chronic Homelessness.
<
0.1% of all homeless individuals
or
3 people*
*Whichever is greater
# Actively
Homeless
Other lanes of work....
*Whichever is greater
Functional Zero definitions for:
What questions do you have?.
� What being in Built for Zero means: .
� You’re part of a movement of peers who are learning together how to end homelessness .
Peer-to-peer learning & connection.
Built for Zero Team… .
� Shifting to. � by-name, real-time data.
Creating & Operationalizing a By-Name Data Set.
BNL Data Set
Case conferencing list
BFZ Monthly Metrics
Historical view of system
Disaggregate to look for disparities over time
Reporting Data.
ACTIVELY HOMELESS
INFLOW
INFLOW:
Newly identified
INFLOW:
Returned from housing
INFLOW:
Returned from inactive
OUTFLOW:
Housing placements
OUTFLOW:
Moved to inactive
OUTFLOW:
No longer meets population criteria
OUTFLOW
Length of time from ID to housing
Two components:
Achieving Quality Data .
Perfect Score on BNL Scorecard
All items on the scorecard have a “Yes” response
Reliable Data
3-month* data reliability within
+/- 15% margin
*This requires a minimum of 4 months of reported data to calculate.
� Systems coaching to use
data for improvement.
Quality Improvement.
What are we trying to accomplish?
How will we know a change is an improvement?
What change can we make that will result in improvement?
PLAN
DO
STUDY
ACT
The Model for Improvement was developed by Associates in Process Improvement
and taught to us by the Institute for Healthcare Improvement. Thank you!
Data visualizations to identify trends.
Identifying areas for system improvements.
Support + confidence in measuring your success.
� What does coaching look like? .
Our coaching program:.
Action Cycle:
2023
Learning Session:
2-3 Days
Right Now:
Community Navigation Calls:
Time Commitment.
Expect to spend about 3 hours / month on the phone with us, and 1-2 hours working on projects with your team.
What questions do you have?.
� You’re here because you’re
part of the team. .
Improvement team roles.
The Basic Key Roles
*remember: the structure of the teams can vary!
Executive/ Leadership Group
Community Lead
Data Lead
Improvement Project
Project Lead
Project Team
Service Coordination Team
Key Improvers/ Engaged Contributors
Shared Governance Structure.
Improvement Team Lead.
Visible leader actively driving the system improvement work to reach big goals. They are responsible for equipping team members and delegating responsibilities.
This person leads improvement and learning as they drive the local effort to end homelessness for target populations.
They recruit stakeholders to participate in the improvement team and communicate to sponsors/senior leaders.
They coordinate with the Data Lead to get necessary data for tracking progress, analyzing the effect of changes, and guiding the next improvement work.
The person in this role should have skills for facilitation, building consensus around shared goals, and motivating a team to execute changes.
Data Lead.
Builds and maintains a measurement system to drive progress towards goals. They are responsible for maintaining the data infrastructure that produces data to drive and evaluate results.
They work directly with HMIS or closely with an HMIS Administrator to pull data.
They develop understanding of Built for Zero data-reliability standards and by-name list scorecards.
Crucially, they submit a monthly report, which populates the Performance Management Tracker.
The person in this role should support the improvement team with data collection needed to measure the results of changes and provide report-outs as needed for the team and leadership.
Senior Leader/Sponsor.
Leader(s) accountable for ongoing participation and engagement in Built for Zero. Stays in regular contact with the Team Lead to help set goals, agree on priorities, and line up supports.
A person with formal authority in relationship to local systems touching homelessness.
They should participate in setting population-level Big Hairy Audacious Goals (BHAGs), e.g. “end veteran homelessness by April 2021.”
� Quality Data .
Foundations of Quality Data.
Comprehensive Coverage
Person-Centric Data
Real-Time Accuracy
Reliable
BFZ Data Milestones .
Test & build data infrastructure to increase confidence in data
Phase 1
Achieving Quality Data
Improvement Median
Functional Zero Threshold
Understand system norms &
Identifying continual improvement work
Phase 2
Set Improvement Medians
Plan PDSA Cycles
&
See reductions!
Phase 3
Reduce
Reach thresholds
&
Begin sustaining
Phase 4
Achieve Functional Zero
Monthly Reporting
Quality Data Confirmed
Improvement Baseline captured
Improvement Median is established.
Reduction work begins.
This data point signals the end of a significant reduction shift.
Every time a shift is record, the Improvement Median recalculates.
Community reaches Functional Zero.
Sustaining work begins.
By-Name Data System Assessment.
Built For Zero By-Name Data:
Quality Data Measurement Framework
Qualitative Analysis: Scorecard
Quantitative Analysis: Improvement Metrics
Scorecard Deeper-Dive Breakouts.
1 Data Infrastructure / Reporting Orientation | 2 Data Contributions/ Systems Orientation |
Deeper dive into the data metrics we need you to report & how to do so. Recommended for:
| Introduction to the All-Singles Scorecard & our qualitative data standards. Recommended for:
|
Scorecard Breakout.
Maybe something like slides 7-11 of this deck??
-- would definitely want to add to these slides to tell at least 1-2 community ‘stories’ here about what happened when they flipped a no to a yes. Did numbers go up bc their outreach got better? Etc.
Objectives:
-- Should have an idea of the threshold of quality data
-- have a little more information about what they have + haven’t met.
-- everyone should log into the PMT + access their scorecard.
Let’s log-in to the PMT.
login.builtforzero.org
Let’s log-in to the PMT.
Next Steps: .
Thank You